PEGGY L BURNS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****70

License Status

NOT RENEWED

Business

First Name

PEGGY L

Last Name

BURNS

Business Name

PEGGY L BURNS

Original Issue Date

10/15/1986

Effective Date

10/15/1986

Expiration Date

09/30/1998

City

CHICAGO

State

Zip

60620

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005